Dr Ken Shadman Ota, DO - Medicare Family Practice in Scottsdale, AZ

Dr Ken Shadman Ota, DO is a medicare enrolled "Family Medicine" physician in Scottsdale, Arizona. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aligned Medical Providers Llc and his current practice location is 9821 N 95th St Ste 101, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 365-8035.

Dr Ken Shadman Ota is licensed to practice in Arizona (license number 5305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750544276.

Contact Information

Dr Ken Shadman Ota, DO
9821 N 95th St Ste 101,
Scottsdale, AZ 85258-4589
(480) 365-8035
Not Available



Physician's Profile

Full NameDr Ken Shadman Ota
GenderMale
SpecialityFamily Practice
Experience16 Years
Location9821 N 95th St Ste 101, Scottsdale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ken Shadman Ota graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1750544276
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 11/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365635935
  • Enrollment ID: I20101015000585

Medical Identifiers

Medical identifiers for Dr Ken Shadman Ota such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750544276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5305 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Boswell Medical CenterSun city, AZHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ken Shadman Ota allows following entities to bill medicare on his behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189

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Entity NameScottsdale Physicians Group Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689799579
PECOS PAC ID: 8325099385
Enrollment ID: O20050207000876

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Entity NameO Longevity & Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083111371
PECOS PAC ID: 2961735550
Enrollment ID: O20190613002015

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Entity NameAligned Medical Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386267078
PECOS PAC ID: 9234553116
Enrollment ID: O20200724001162

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ken Shadman Ota is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ken Shadman Ota, DO
9821 N 95th St Ste 101,
Scottsdale, AZ 85258-4589

Ph: (480) 365-8035
Dr Ken Shadman Ota, DO
9821 N 95th St Ste 101,
Scottsdale, AZ 85258-4589

Ph: (480) 365-8035

News Archive

Men have better resources than women to cope with challenges of aging

Gender differences in societal ageing favor men over women, which suggests that men have better resources to help them cope with the challenges of ageing.

Eating high levels of flavonoids found in berries, tea, and chocolate offer protection from type 2 diabetes

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Chocolate compund that helps heart identified

In a multifaceted study involving the Kuna Indians of Panama, an international team of scientists has pinpointed a chemical compound that is, in part, responsible, for the heart-healthy benefits of certain cocoas and some chocolate products.

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› Verified 1 days ago


Family Medicine Doctors in Scottsdale, AZ

Dr. Sam Saman Fereidouni, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7699 E Pinnacle Peak Rd, Suite 115, Scottsdale, AZ 85255
Phone: 480-300-4663    Fax: 480-300-4888
Dr. Daniel Andrew Wool, ND
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255
Phone: 480-389-3265    
Helene Wechsler, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10900 N Scottsdale Rd, Suite 104, Scottsdale, AZ 85254
Phone: 480-990-1564    Fax: 480-990-3298
Natasha Ryan, NMD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8412 E Shea Blvd, Suite 101, Scottsdale, AZ 85260
Phone: 480-874-1515    Fax: 480-991-8395
Evan Scot Trost Ix, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8328 E. Hartford Dr., Scottsdale, AZ 85255
Phone: 480-214-9720    Fax: 480-214-9722
Katayoun Baniriah, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4845 E Thunderbird Rd, Scottsdale, AZ 85254
Phone: 480-699-7004    Fax: 480-699-6129
Dr. Ronald Lewis Peters, MD, MPH
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13951 N Scottsdale Rd, Suite 100, Scottsdale, AZ 85254
Phone: 480-607-7999    Fax: 480-607-7998

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